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General NPI Number Information
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NPI Number | 1891187654
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Entity Type | Organization
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Legal Business Name | ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1202 S TYLER ST
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-898-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 721736
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City | NORMAN
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State | OK
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Zip | 73070-8326
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Country | US
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Telephone | 405-240-9381
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Fax | 405-341-9217
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Authorized Official
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Title or Position | CFO
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Name | BRETT MCINTYRE
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Credential |
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Telephone | 850-602-0625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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